Treatment of superior mesenteric artery mycotic aneurysm by synthetic vascular graft: a case report Authors Syed Muhammad Hammad Alam Department of Vascular Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan Rabia Gilani Department of Vascular Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan Muhammad Ali Adnan Department of Vascular Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan Nida Jawad Department of Vascular Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan Asif Raza Department of Vascular Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan Amber Farman Department of Vascular Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan DOI: https://doi.org/10.47391/JPMA.6859 Keywords: Infected Aneurysm, Mycotic Aneurysm, Superior Mesenteric Artery, Splanchnic Aneurysm, PTFE (Polytetrafluoroethylene graft) Abstract Superior mesenteric artery (SMA) aneurysm is a rare disease, especially if it is mycotic (infective) in origin. It is difficult to detect the problem during its initial natural course and usually presents in late phase due to its complications such as rupture, dissection, haemorrhage, and mesenteric ischaemia. Initially, the patient present with non-specific symptoms like vague colicky abdominal pain, nausea, vomiting, discomfort, malaise, and low-grade fever but prompt workup and intervention can lead to definitive diagnosis and uneventful outcome. This report describes the case of a 60-year-old male patient who presented with non-specific abdominal symptoms and, on workup, was diagnosed with superior mesenteric artery mycotic aneurysm. It was successfully treated surgically by resection of aneurysm and reconstruction of superior mesenteric artery by inter-positional Polytetrafluoroethylene (PTFE) synthetic vascular graft. Keywords: Infected Aneurysm, Mycotic Aneurysm, Superior Mesenteric Artery, Splanchnic Aneurysm, PTFE (Polytetrafluoroethylene graft) Downloads Full Text Article Published 2023-03-15 How to Cite Alam, S. M. H., Rabia Gilani, Muhammad Ali Adnan, Nida Jawad, Asif Raza, & Amber Farman. (2023). Treatment of superior mesenteric artery mycotic aneurysm by synthetic vascular graft: a case report. Journal of the Pakistan Medical Association, 73(4), 925–928. https://doi.org/10.47391/JPMA.6859 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 73 No. 4 (2023): April Section CASE REPORT License Copyright (c) 2023 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.